Provider Demographics
NPI:1932431293
Name:TURACK, DANIEL LOUIS III (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:LOUIS
Last Name:TURACK
Suffix:III
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 LAKE DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8476
Mailing Address - Country:US
Mailing Address - Phone:412-601-2479
Mailing Address - Fax:
Practice Address - Street 1:145 LAKE DR
Practice Address - Street 2:SUITE 104
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8476
Practice Address - Country:US
Practice Address - Phone:412-601-2479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010374111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition